Individual
MS. DENISE KIMBERLY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32500 CONCORD DR, STE.343, MADISON HEIGHTS, MI 48071-1100
(248) 588-0512
Mailing address
18145 CARDONI ST, DETROIT, MI 48203-2492
(313) 909-7151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109637
MI
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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